LOLA JETT SUDP
NPI 1629463617
Counselor - Addiction (Substance Use Disorder) in Shoreline, WA

Active since April 06, 2015
16715 AURORA AVE N # 102, SHORELINE, WA 98133(206) 546-9766 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lola Jett Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOLA JETT SUDP (NPI 1629463617) is an individual addiction (substance use disorder) provider in Shoreline, Washington, licensed in Washington (CO 60521530) and active in the NPI registry since April 2015.Information from the official NPPES registry record, last updated October 22, 2021.

NPPES Registry Identity

NPI1629463617
Entity TypeIndividualFemale
Provider Legal NameLOLA JETTCredential: SUDP
Location Address16715 AURORA AVE N # 102Shoreline, WA 98133-5310
Mailing Address2610 Wetmore AveEverett, WA 98201-2927 · (425) 258-5270
Sole ProprietorNo
Enumeration DateApril 6, 2015
Last NPPES UpdateOctober 22, 2021
NPPES CertifiedOctober 22, 2021
NPI 1629463617 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Counselor · Addiction (Substance Use Disorder)

Taxonomy 101YA0400X · Behavioral Health & Social Service Providers

Licensed in WA · CO 60521530 Licensed in WA · 60763564 Licensed in WA · CP60763564
16715 AURORA AVE N # 102, Shoreline, WA 98133

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Community Health Worker
16715 AURORA AVE N # 102
SHORELINE, WA 98133
Behavior Technician
16715 AURORA AVE N # 102
SHORELINE, WA 98133
Counselor (Addiction (Substance Use Disorder))
16715 AURORA AVE N # 102
SHORELINE, WA 98133
Licensed Practical Nurse
16715 AURORA AVE N # 102
SHORELINE, WA 98133
Counselor (Mental Health)
16715 AURORA AVE N # 102
SHORELINE, WA 98133
Counselor (Addiction (Substance Use Disorder))
16715 AURORA AVE N # 102
SHORELINE, WA 98133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629463617, enumerated as an "individual" on April 06, 2015.

The provider is located at 16715 AURORA AVE N # 102 SHORELINE, WA 98133 and the phone number is (206) 546-9766.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).